Healthcare Provider Details

I. General information

NPI: 1629025895
Provider Name (Legal Business Name): BRIAN N SABOWITZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2006
Last Update Date: 12/29/2023
Certification Date: 12/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5120 S FELTS LN
SPOKANE VALLEY WA
99206-8203
US

IV. Provider business mailing address

5120 S FELTS LN
SPOKANE VALLEY WA
99206-8203
US

V. Phone/Fax

Practice location:
  • Phone: 210-865-9290
  • Fax:
Mailing address:
  • Phone: 210-865-9290
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberM-13587
License Number StateID
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD60511550
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberN4055
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code207RB0002X
TaxonomyObesity Medicine (Internal Medicine) Physician
License NumberMD60511550
License Number StateWA
# 5
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD210033
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: